NPI | 1205043486 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: CT 53391) |
Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: MI 5101016862) |
Enumeration Date | 2007-05-17 |
Last Update Date | 2024-08-05 |